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白细胞介素-10 多态性与结核病易感性:荟萃分析。

Interleukin-10 polymorphisms and tuberculosis susceptibility: a meta-analysis.

机构信息

Key Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, Wenzhou Medical College, Wenzhou, Zhejiang, China.

出版信息

Int J Tuberc Lung Dis. 2011 May;15(5):594-601. doi: 10.5588/ijtld.09.0703.

Abstract

BACKGROUND

A large number of studies have shown that polymorphisms in the interleukin 10 (IL-10) gene are implicated in susceptibility to tuberculosis (TB). However, the results are inconsistent and inconclusive.

OBJECTIVE

A meta-analysis was performed to analyse the association between polymorphisms in the IL-10 gene and TB susceptibility.

RESULTS

A total of 18 studies that referred to three polymorphisms (-1082G/A, -819C/T and -592A/C) were identified. No association was found between these three polymorphisms and TB risk in combined analyses: -1082G/A (AA+AG vs. GG): OR 0.87, 95%CI 0.66-1.14, P = 0.30; -819C/T (TT+TC vs. CC): OR 1.02, 95%CI 0.92-1.14, P = 0.66; -592A/C (CC+CA vs. AA): OR 0.99, 95%CI 0.88-1.11, P = 0.82. However, in the subgroup analysis by ethnicity, European subjects with the -1082(AA+GG) genotypes have a decreased risk of TB: OR 0.55, 95%CI 0.35-0.88, P = 0.01.

CONCLUSION

This meta-analysis suggests that the -1082G/A polymorphism of the IL-10 gene could be a risk factor for TB in Europeans. Further studies with larger populations are required to assess the association between IL-10 polymorphisms and TB susceptibility.

摘要

背景

大量研究表明白细胞介素 10(IL-10)基因的多态性与结核病(TB)易感性有关。然而,结果不一致,没有定论。

目的

进行荟萃分析以分析 IL-10 基因多态性与 TB 易感性的关系。

结果

共确定了 18 项涉及三种多态性(-1082G/A、-819C/T 和-592A/C)的研究。综合分析未发现这三种多态性与 TB 风险之间存在关联:-1082G/A(AA+AG 与 GG):OR 0.87,95%CI 0.66-1.14,P = 0.30;-819C/T(TT+TC 与 CC):OR 1.02,95%CI 0.92-1.14,P = 0.66;-592A/C(CC+CA 与 AA):OR 0.99,95%CI 0.88-1.11,P = 0.82。然而,在按种族进行的亚组分析中,-1082(AA+GG)基因型的欧洲人患 TB 的风险降低:OR 0.55,95%CI 0.35-0.88,P = 0.01。

结论

这项荟萃分析表明,IL-10 基因的-1082G/A 多态性可能是欧洲人患 TB 的危险因素。需要进行更多的具有更大人群的研究来评估 IL-10 多态性与 TB 易感性之间的关联。

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